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^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />~ ~ fj~ ~.~ ~-o r <br />X ~ -,,. ,. ~ ^ Agent, <br />'~ a~ ~~ `' ^ Addressee <br />B. Received by;(Pnnted'Name)_,' C. Date of Delivery <br />D. Is delivery address`different from item 1? ^ Yes <br />If YES, en4er,delivery address below: • `^ No <br />A. Signature <br /> <br />3. Service Type <br />Certified Mail ^ Express Mail <br />^ Registered .0'FTeturn Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number <br />(Transfer from service label) <br />Ps Form 3811, August 2001 <br />Domestic Return Receipt <br />102595-02-M-1035 <br />